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SABCS: Leukemias Increase Among Patients On High-Dose Chemotherapy
And Growth Factors, But Incidence Remains Rare
SAN ANTONIO, TX -- December 11, 2001
The risk of a patient
developing acute myeloid leukemia and myelodysplastic syndrome
increases as doses of doxorubicin-cyclophosphamide adjuvant therapy
for operable breast cancer increase.
The incidence of the leukemias remains small, however, (around
1 percent) even when growth factors are used to help patients
recover from blood cell depletion as the result of high doses
of the chemotherapy agents.
Overall, the studies involved 8,563 patients who contributed 61,810 person-years of follow-up. Dr. Smith reported 43 cases of the leukemia-like disorders. Approximately one-third of 1 percent of patients on standard AC developed these disorders, rising to 1.5 percent in patients on the more intense regimens.
Researchers for the National Surgical Adjuvant Breast and Bowel
Project reported this finding at the 24th annual San Antonio
Breast Cancer Symposium.
[12/11/2001; Doctor's Guide]
Ann's NOTE: 61,810 person-years sounds like a long time, but it is NOT-only 6-7 years. Perhaps longer time follow up might indicate more problems. We know from other studies that there are many quality of life (QOL) issues that last long-term. This one is more serious.
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